In female-to-male transsexuals, the operative procedures are usually performed in different stages: first the subcutaneous mastectomy which is often combined with a hysterectomy-ovarectomy endoscopically assisted. The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis.
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Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy HRT , and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including vaginoplasty , facial feminization surgery , breast augmentation , and various other procedures. Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in She was the subject of four surgeries: one for orchiectomy , one to transplant an ovary , one for penectomy , and one for vaginoplasty and a uterus transplant. However, she died three months after her last operation. Christine Jorgensen was likely the most famous recipient of sex reassignment surgery, having her surgery done in Denmark in late and being outed right afterwards. She was a strong advocate for the rights of transgender people.
Male-to-Female MtF gender affirmation surgery GAS comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all MtF transsexual patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between and In total, we received completed questionnaires after a median of 5. Of the study participants, Of those who had sexual intercourse, Most patients were satisfied with the sensitivity of the neoclitoris The self-estimated pleasure of sexual activity correlated significantly with neoclitoral sensitivity but not with neovaginal depth. There was a significant correlation between the ease with which patients were able to become sexually aroused and their ability to achieve orgasms. In conclusion, orgasms after surgery were experienced more intensely than before in the majority of women in our cohort and neoclitoral sensitivity seems to contribute to enjoyment of sexual activity to a greater extent than neovaginal depth.
Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery. In this article, we describe female-to-male gender-affirming surgeries. We also discuss recovery and what to expect from a transgender penis. Before having female-to-male gender-affirming surgery, a person will receive testosterone replacement therapy.